Detection of true pathologic stage I lung cancer in a screening program and the effect on survival Academic Article Article uri icon


MeSH Major

  • Adenoviridae
  • Genetic Vectors
  • Myocardial Ischemia
  • Vascular Endothelial Growth Factor A


  • One-hundred-sixty-nine lung cancers have occurred to date among 10,040 cigarette smoking men who participated in the New York Lung Cancer Detection Program. Almost 40% of the cases, 65, were still Stage I when their disease was diagnosed; 62 had thoracotomy and resection, and in 57, mediastinal node dissection confirmed that the mediastinum was free of metastases ("true pathologic" Stage I). Fifty-four of the 62 (87%) are still alive at this time, while only 15 of 104 (14%) of those with Stage II and III lung cancers are alive. Only two patients of the 62 in Stage I who were treated by resection died of lung cancer, both with T2 tumors. Two others are alive with metastases, one died postoperatively, and five died of other causes without evidence of lung cancer. The estimated probability of survival for true Stage I lung cancer is over 90% at five years, and close to 40% of all lung cancers can be detected in this favorable stage by present radiologic and cytologic screening techniques.

publication date

  • January 1981



  • Academic Article


Digital Object Identifier (DOI)

  • 10.1002/1097-0142(19810301)47:5+<1182::AID-CNCR2820471322>3.0.CO;2-4

PubMed ID

  • 6263446

Additional Document Info

start page

  • 1182

end page

  • 7


  • 47


  • 5 S